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-_- ;�;-i�_�,�p;cp (,�,.-� „� FPI Sea.ttle i.... _...-=-=-=� - ..... <br />. .. . _ 1 _ I l _ _ _ .... <br />' ELECTRiCAL PEf�MIT APPLICATION <br />CITY OF EVERETT PERMtT SERVICES <br />3200 CEDAR STREcT, EVERETT, WA 98201 �_a--�-�3 <br />425-257-8810 - FAX 425-257-8857 -ww�.v.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />� L�C]Z S� � �1Pr4.'�C�"�n.�\ �� a�� <br />PROJECT AD�RESS <br />C �3aa�r2z, <br />—d \_C.�1�1-"`-' � CCSr! ��" �YII�i���� L1.i� 1¢i \lY] v�?n �n .m�` r� ��ii' `S� '�rV'� na.. � :.A `1 Z <br />Owner Mail Adtlress Ciry StatefLp Phono <br />��_ n4-E '�a.R.1�r�., 1 �1OL. S� �a rre ;k4- Yv�a.11 W w Y_�tPs[ii� �A �s32�i <br />Tenant MeilAddress � Cily Sato/Zip Phrne <br />Electrical Contractor Maii P,ddress <br />�IQ��1�'C�'L7.W1L — <br />State License Number <br />� � �Mrn2c-Gi c� <br />� Proposed Usa of euildinc� <br />Square Footage (If residenlial new canstruction, remodel or additien) <br />Clly State/Zlp <br />� G� <br />g obG7. <br />COnlrac[ Pnve of Work <br />"R �b 10.�,,�,r <br />Contact Person (Plan Review) <br />Piione <br />Descriptian af work to Be Done: ��L.J �1 �o��,� _�'���'� ��M�'t" `� �"^4xi�ti� <br />NO7E� WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE . <br />CITY OF EVERET7 LOCAL SALES TAX CObE IS 3105 <br />I horeby certily thst I have read antl examined lhis applica:ion and Hnow ihe <br />correct. AU provisions of laws end ofdinances �overnmp this rype ol woric w <br />���hetherspec�fied he�ein ornot 7he g�anting c1 a pemirt does notp resumo <br />violate or cancel fhe provisions o�any ofherstato orlocsllsw regulatinp con <br />ne7ormance of consfruction. That I am sufhonzod by the owne� of Stiis rop <br />wo�k for �•�hich applica(ion !s .�nade and I comply �vith the state Contr���s 1 <br />to be !rue snd <br />�mple(ed <br />� authonty to <br />FEE <br />2' <br />� 35� <br />� C��Ys" 6��` <br />he Cj,,,,�' a��.CR. <br />and <br />� .Pa..�1�W�':' iF <br />��-.X � <br />— � . <br />�1'L5� Z`i0- �i bo0 <br />